Baylor Scott & White Health ยท 5 hours ago
Manager Quality Improvement
Baylor Scott & White Health is committed to delivering high-quality, safe care to patients and members. The Manager Quality Improvement is responsible for managing quality improvement initiatives, ensuring compliance with regulatory standards, and facilitating training and mentorship for staff to achieve excellence in patient care.
FitnessHealth CareMedicalSports
Responsibilities
Plans, directs, prioritizes, communicates, and manages continuous quality improvement at local facilities and/or across BSWH
Ensures demonstrable progress toward the BSWH goal of achieving high reliability by providing facilitation, mentorship, training, and instructional materials to train, educate and support leadership, facility staff and departmental staff in the provision of patient safety and quality care, and compliance with regulatory requirements
Develops, interprets, and reviews changes and assists in successful implementation of policies, processes, and procedures to support BSWH patient safety and quality objectives and compliance with federal and state regulatory requirements
Ensures improvement initiatives are directly linked to the strategic and tactical objectives of the organization, emphasizes efficiency and effectiveness of processes, and enables breakthrough process changes and improvements
Monitors key processes and outcomes, identifies performance gaps, recommends strategies for improved outcomes, and applies a wide range of analytical techniques, and process or quality improvement tools to drive improvements, and tracks and analyzes project performance against project plans to ensure return on investment
Serves as change agent for various stakeholders charged with clinical operations at BSWH entities. Works in close collaboration with facility leadership and teams to utilize appropriate audit strategies, data extraction, expert observation, surveys and focus groups or other tools to obtain relevant information to improve care and quality of service
Prepares and submits timely scheduled and ad hoc status reports on the progress of work teams to various stakeholders to keep them apprised of progress, potential barriers, lessons learned, and related topics for all strategic improvement priorities
Participates and/or leads BSWH specific quality improvement and monitoring efforts such as but limited to unit and/or facility huddles and ZERO Harm Rounds
Ensures successful departmental leadership including provision and direction of adequate staffing resources, compliance with departmental budget, effective departmental communication, and team member development and performance evaluation
Qualification
Required
Expert knowledge in quality performance measurement, data analysis, and project management tools and templates needed to successfully drive initiatives
Expert knowledge of Texas, Joint Commission and CMS regulatory standards, and trends, developments and research in providing safe, high-quality care
Excellent management, strategic thinking, investigative, facilitation, and problem-solving skills
Excellent verbal, interpersonal, and written communication, and strong computer/technology skills including Microsoft Office/Teams
Able to mentor, train and develop instructional materials to educate leadership and staff in quality, patient safety, and regulatory issues
Able to work collaboratively and effectively with a wide range of key stakeholders and across organizational lines and teams to identify strategic and operational challenges and impediments to success, and recommend and implement corrective action/or mitigation and prioritize tasks to achieve BSWH safety and quality objectives
Able to lead, monitor, support, and develop direct and indirect reports to ensure individual and departmental success
Hold or be willing to achieve Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Patient Safety (CPPS), or a leader approved role-appropriate certification within the first two years of hire
EDUCATION - Masters' or Bachelors plus 2 years of work experience above the minimum qualification
EXPERIENCE - 5 Years of Experience
Preferred
Licensed clinician such as nurse, physical therapist, occupational therapist, dietitian, respiratory therapist, etc
Benefits
Immediate eligibility for health and welfare benefits
401(k) savings plan with dollar-for-dollar match up to 5%
Tuition Reimbursement
PTO accrual beginning Day 1
Company
Baylor Scott & White Health
Baylor Scott & White Health is a non-profit health care system that research about the outpatient, and emergency treatment services.
H1B Sponsorship
Baylor Scott & White Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (17)
2024 (9)
2023 (6)
2022 (5)
2021 (4)
2020 (6)
Funding
Current Stage
Late StageRecent News
2025-12-09
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